One of the most important needs of mankind is to relate emotionally and physically and that includes the ability to have effective sexual relationship. Sex is a natural instinct and men and women are natural sexual beings. Through sexual relationship one begets children. Probably the main purpose of sexual relationship is procreation and only at a later stage, when the family is formed and the relationship is stable that one becomes drawn towards sexual relationship for recreation. When this happens sexual relationship will take a different turn from a more penetrative sexual relationship to a more non-penetrative sexual relationship. These is not the norm for most couples especially when the male partner is still virile and consider penetrative form of sexual relationship the only approach to sexual expression.

Aging has an impact to sexual relationship. Problems of sexual dysfunctions both in men and women occur when men and women aged and experience deterioration in their health. Physical disability is also another negative factor. As far as the sexual organs are concerned the less they are used the less effective they become or otherwise if they are regularly used. If they cannot be used then appropriate medical intervention is recommended

For men with ED, the causes for ED need to be evaluated and appropriate treatment provided. The options are plenty and involved improving blood flow into the penile musculature. Viagra maybe another option provided the therapy is safe for the patients. Hormonal causes of ED need hormonal replacement therapy.

For women, if the problem is related to low sex drive, testosterone therapy can be provided along with estrogen therapy and if there is less lubrication, water-based lubrication can be provided. Both parties can be counseled about non-penetrative sexual relationship and TLC.

Touching is one of the most sensuous experiences one can enjoy but along the way this basic experience is lost. Probably all is not lost when one soon realize that touching can be a satisfying option of sexual expression.

ED – erectile dysfunction
TLC – tender loving care